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Application for Degree or Certificate

Last Name: Gentile Date of Birth: 06/05/1989

First Name: Luisina Email:
Middle Name: UNI (University Network ID): 2897
PID (if applicable): C00

Does this name differ from the name on your academic profile?
Yes ___ ✔
No ___
If yes, please indicate name on profile:
If your name is significantly different from the one on your academic profile, you need to submit a Name Change
Affidavit, available in the “Forms” section of our website at

Degree or Certificate for Which You Are Applying

School: GSAS Grad Year: 2017 Month: May
Select: Feb, May, June (HS only), or Oct
Department: Latin American and Iberian Cultures Degree or Certificate: MA

Undergraduates only:
Minor: Concentration: ______

Other Degree or Certificate for Which You Are Applying on the Same Date
Note: You must complete a separate application for each degree.

School: Degree or Certificate:

Post-Graduation Address and Contact Information Please supply the address to which your
diploma should be mailed. This address should be valid for at least two months after graduation.

Address Line 1: 473 Putnam Avenue Phone Number: 917-562-0264

Address Line 2:
City: NY
State/Province: NY
Postal Code: 11221
Country: USA

Student’s Signature: Date: 02/27/2018

You may leave this field blank if submitting electronically.

Please return this form:

Via email: Contact us:
In person: Diploma Division, 205 Kent Hall, Via email:
1140 Amsterdam Ave., New York, NY 10027 Website: